Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallard Creek Family Dentistry LLP

Organization General Practice Dentistry · NPI 1306488382

Mallard Creek Family Dentistry LLP is a General Practice Dentistry in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3010 Baucom Rd Ste 200
Charlotte, NC 28269-6765
Phone: (704) 596-0021
Fax: (704) 599-1155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306488382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzi Wallace — Practice Administrator · (704) 596-0021
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address3010 Baucom Rd Ste 200, Charlotte, NC 28269-6765

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